The Building InvestiGative practices for better Health Outcomes Research Network (BIGHORN) is a practice-based research network of private primary care practices in Colorado.

The mission of BIGHORN is to transform a network of undifferentiated private practices into a community of reflective, investigative practices and their patients, thereby enhancing the quality, safety, efficiency, and accessibility of primary health care through practice- based research.

The BIGHORN team seeks to realize the next evolutionary step in PBRNs: a network of entire practices, rather than individual providers, representing the true diversity of geography, practice structures, patients, and communities of private primary care.

Where We Work


Contact Us

Doug Fernald, MA

Doug Fernald, MA

BIGHORN Director


How long have you worked with CU, DFM, or SNOCAP?

25 years in DFM. 23 years with SNOCAP.


In addition to PBRN work, Mr. Fernald has ongoing lead roles in the evaluation of several primary care transformation efforts in Colorado. Combined, these evaluations comprise practice transformation work in over 300 primary care practices across Colorado. He has worked extensively on large- and small-scale evaluation and practice-based research projects including behavioral health integration, health promotion, patient safety, and health risk assessment.

Special Interests:

Who knew a degree in anthropology would lead to a career in family medicine? What a great discipline to be in!

Interesting Facts:

When I was younger, I thought it would be cool to play the sousaphone. Turns out it was a terrible idea: it was bigger than I was at the time.


News & Updates




               SNOCAP Newsletter



Family Medicine (SOM)

CU Anschutz

Academic Office One

12631 East 17th Avenue

Box F496

Aurora, CO 80045


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